| NPI | 1306865290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101253045) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 28843) |
| 208M00000X Hospitalist (Licence: SC 28843) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-07-21 |