| NPI | 1992891931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101058653) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101058653) |
| 207R00000X Internal Medicine (Licence: DC DCmd31167) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-01-20 |