| NPI | 1912036922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2008-01702) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 134166) |
| 207R00000X Internal Medicine (Licence: VA 0101245544) | |
| 207R00000X Internal Medicine (Licence: CA C129922) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-06-05 |