| NPI | 1336374297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.1481119) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01073611) |
| 208M00000X Hospitalist (Licence: VA 0101252536) | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2024-01-26 |