| NPI | 1235370933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 44708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 44708) |
| 207R00000X Internal Medicine (Licence: RI LP00774) | |
| 207R00000X Internal Medicine (Licence: AZ 44708) | |
| 208M00000X Hospitalist (Licence: MI 44708) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2021-01-29 |