| NPI | 1609072578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0066264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101255457) |
| 207R00000X Internal Medicine (Licence: PA MD449461) | |
| 208M00000X Hospitalist (Licence: VA 0101255457) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2023-11-10 |