| NPI | 1477761534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101247666) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101247666) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101047940) | |
| 208M00000X Hospitalist (Licence: VA 0101247666) | |
| 208M00000X Hospitalist (Licence: VA 0101047940) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2022-02-17 |