| NPI | 1306124433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 16425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 49329) |
| 208M00000X Hospitalist (Licence: AZ 49329) | |
| 207R00000X Internal Medicine (Licence: NV 16425) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2016-07-14 |