| NPI | 1831112283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101230328) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD060828L) |
| 208M00000X Hospitalist (Licence: VA 0101230328) | |
| 208M00000X Hospitalist (Licence: PA MD060828L) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-18 |