| NPI | 1346401700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 37894) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 37894) |
| 207P00000X Emergency Medicine (Licence: AZ 37894) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AZ 37894) | |
| 208M00000X Hospitalist (Licence: AZ 37894) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2018-04-10 |