| NPI | 1932458304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101282885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-49317) |
| 207R00000X Internal Medicine (Licence: AL 46181) | |
| 207R00000X Internal Medicine (Licence: IA MD-47712) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 46181) | |
| 208M00000X Hospitalist (Licence: IA MD-47712) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2025-04-25 |