| NPI | 1760416929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101238629) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101238629) |
| 208M00000X Hospitalist (Licence: VA 0101238629) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-10-23 |