| NPI | 1427311836 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101269225)  | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2015-01624)  | 
| Enumeration Date | 2012-06-20 | 
| Last Update Date | 2020-07-30 |