| NPI | 1942249073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101224316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME75833) |
| 208M00000X Hospitalist (Licence: VA 0101224316) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2023-11-30 |