| NPI | 1437122603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2022-0754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101042310) |
| 207R00000X Internal Medicine (Licence: PA MD483617) | |
| 208M00000X Hospitalist (Licence: VA 0101042310) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2025-01-02 |