| NPI | 1366738569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0102207920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2016-01578) |
| 207R00000X Internal Medicine (Licence: VA 0102207920) | |
| 208M00000X Hospitalist (Licence: NC 2016-01578) | |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2023-12-06 |