| NPI | 1376714634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101248397) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 33137) |
| 207R00000X Internal Medicine (Licence: VA 0116019118) | |
| 208M00000X Hospitalist (Licence: VA 0101248397) | |
| 208M00000X Hospitalist (Licence: SC 33137) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2021-07-21 |