| NPI | 1255478772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 35349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a68474) |
| 207R00000X Internal Medicine (Licence: AZ 35349) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-11-10 |