| NPI | 1295059012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101254245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101254245) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2024-01-28 |