| NPI | 1528556917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101275365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-48597) |
| 208M00000X Hospitalist (Licence: IA MD-48597) | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2022-06-14 |