| NPI | 1609820158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0056736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-42278) |
| 207R00000X Internal Medicine (Licence: WV 20397) | |
| 207R00000X Internal Medicine (Licence: VA 0101227103) | |
| 208M00000X Hospitalist (Licence: IA MD-42278) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-06-08 |