| NPI | 1073560702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 65265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2016-02385) |
| 207R00000X Internal Medicine (Licence: AZ 65265) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 056681) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2016-02385) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-01-03 |