| NPI | 1336158096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101239848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101239848) |
| 208600000X Surgery (Licence: VA 0101239848) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-12-27 |