| NPI | 1659500072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 37770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 37770) |
| 207R00000X Internal Medicine (Licence: NC 2014-00110) | |
| 207R00000X Internal Medicine (Licence: DC unlicensed) | |
| 207R00000X Internal Medicine (Licence: VA 0102202781) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2021-06-02 |