| NPI | 1932572039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-02778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101274401) |
| 208M00000X Hospitalist (Licence: VA 0101274401) | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2022-05-20 |