| NPI | 1659719227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260544) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 260571) |
| 208M00000X Hospitalist (Licence: VA 0101260544) | |
| 208M00000X Hospitalist (Licence: MA 268325) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2024-01-01 |