| NPI | 1124468400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 73999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D79632) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2024-07-03 |