| NPI | 1235198086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 32363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 32363) |
| 207R00000X Internal Medicine (Licence: AZ 28043) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-11-20 |