| NPI | 1376502757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101055295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0053249) |
| 208M00000X Hospitalist (Licence: MD D0053249) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-10-12 |