| NPI | 1710150362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101243115) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101243115) |
| 208M00000X Hospitalist (Licence: VA 0101243115) | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2020-10-25 |