| NPI | 1508100637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101275406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 278839) |
| 208M00000X Hospitalist (Licence: MA 278839) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2022-11-22 |