| NPI | 1962696856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101251839) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101251839) |
| 207R00000X Internal Medicine (Licence: AZ 37284) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2022-07-11 |