| NPI | 1518065374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101234596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101234596) |
| 208M00000X Hospitalist (Licence: MD D0061307) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-12-27 |