| NPI | 1932110277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101054721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 101054721) |
| 208M00000X Hospitalist (Licence: VA 0101054721) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-12-29 |