| NPI | 1639560162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101262725) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-01282) |
| 208M00000X Hospitalist (Licence: VA 0101262725) | |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2024-06-10 |