| NPI | 1821251943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01083360) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2018-00776) |
| 207R00000X Internal Medicine (Licence: VA 0101247340) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2020-02-25 |