| NPI | 1821257544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101245647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116018626) |
| 207R00000X Internal Medicine (Licence: DC 136286) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2018-11-08 |