| NPI | 1396738183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 33697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 33697) |
| 207R00000X Internal Medicine (Licence: IA 38899) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2015-09-09 |