| NPI | 1548229180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101241054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2003-01057) |
| 208M00000X Hospitalist (Licence: VA 0101241054) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-28 |