| NPI | 1265661326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101257816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057112) |
| 207R00000X Internal Medicine (Licence: IL 036129196) | |
| 208M00000X Hospitalist (Licence: IL 036129196) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2022-02-03 |