| NPI | 1932341534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 35622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 35622) |
| 207R00000X Internal Medicine (Licence: VT 042.0012414) | |
| 208M00000X Hospitalist (Licence: VT 042.0012414) | |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2020-11-10 |