| NPI | 1083818504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 47232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 6933) |
| 207R00000X Internal Medicine (Licence: AZ 47232) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2022-08-23 |