| NPI | 1376961367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101271125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 58730) |
| 208M00000X Hospitalist (Licence: VA 0101271125) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2023-03-21 |