| NPI | 1518209303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101268768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201601718) |
| 208M00000X Hospitalist (Licence: VA 0101268768) | |
| 208M00000X Hospitalist (Licence: NC 201601718) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2023-12-29 |