| NPI | 1003045709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 58475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-057211) |
| 207R00000X Internal Medicine (Licence: OR MD157726) | |
| 208M00000X Hospitalist (Licence: OR MD157726) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2019-07-11 |