| NPI | 1801093943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0080616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 140934) |
| 208D00000X General Practice (Licence: NC 2008-01624) | |
| 208M00000X Hospitalist (Licence: DC md041417) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-07-11 |