| NPI | 1417185497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101254980) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101254980) |
| 207R00000X Internal Medicine (Licence: GA 003698) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2020-11-24 |