| NPI | 1326094723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101263610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD418363) |
| 208M00000X Hospitalist (Licence: VA 0101263610) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-03 |