| NPI | 1154525814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 43617) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 43617) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2015-09-08 |