| NPI | 1598721854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101246347) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35079558) |
| 207R00000X Internal Medicine (Licence: VA 0101246347) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-08-07 |