| NPI | 1992016844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102204917) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS016420) |
| 208M00000X Hospitalist (Licence: VA 0102204917) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2021-03-06 |