| NPI | 1184879900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 006599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM A-2092-17) |
| 207R00000X Internal Medicine (Licence: AZ 006599) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2021-04-13 |