| NPI | 1730101593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101230558) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101230558) |
| 208M00000X Hospitalist (Licence: VA 0101230558) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-12-04 |