| NPI | 1386964674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2023-00732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 46983) |
| 208M00000X Hospitalist (Licence: AZ 46983) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2023-05-03 |