| NPI | 1801157813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101266785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD55252) |
| 207R00000X Internal Medicine (Licence: RI MD14860) | |
| 207R00000X Internal Medicine (Licence: VA 0101266785) | |
| 208M00000X Hospitalist (Licence: TN MD55252) | |
| 208M00000X Hospitalist (Licence: VA 0101266785) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2021-08-05 |