| NPI | 1326612284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 011217) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 19656) |
| 207R00000X Internal Medicine (Licence: AZ 011217) | |
| Enumeration Date | 2021-05-16 |
| Last Update Date | 2024-09-09 |