| NPI | 1225267156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 45674) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD213971) |
| 207R00000X Internal Medicine (Licence: AZ 45674) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2024-06-03 |