| NPI | 1033327119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 005227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016818) |
| 207R00000X Internal Medicine (Licence: AZ 005227) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2025-06-09 |