| NPI | 1871741108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101261196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD-440659) |
| 208M00000X Hospitalist (Licence: VA 0101261196) | |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2022-09-27 |