| NPI | 1427312388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ TP01469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 66087) |
| 207R00000X Internal Medicine (Licence: MI 4301103043) | |
| 208M00000X Hospitalist (Licence: MN 66087) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-08-26 |