| NPI | 1699700211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101229841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D56174) |
| 208M00000X Hospitalist (Licence: VA 0101229841) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-10-02 |