| NPI | 1346747987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101272615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME151738) |
| 208M00000X Hospitalist (Licence: VA 0101272615) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2023-07-21 |