| NPI | 1386031623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 008303) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 63660) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2021-01-05 |