| NPI | 1063446425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 60939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N8517) |
| 207R00000X Internal Medicine (Licence: MN 45225) | |
| 207R00000X Internal Medicine (Licence: AZ 60939) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-10-09 |