| NPI | 1033559554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 006870) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 006870) |
| 207R00000X Internal Medicine (Licence: AZ R2317) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2018-12-31 |