| NPI | 1598741191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101236263) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101236263) |
| 207R00000X Internal Medicine (Licence: ND LT 12563) | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2024-05-22 |