| NPI | 1215361472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 83751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 48528) |
| 208M00000X Hospitalist (Licence: AZ 48528) | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2019-12-18 |