| NPI | 1366678286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101248414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 23701) |
| 208M00000X Hospitalist (Licence: VA 0101248414) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2020-07-13 |