| NPI | 1871054304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102207502) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0102207052) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2022-08-29 |