| NPI | 1437545738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 62132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 077223) |
| 207R00000X Internal Medicine (Licence: AZ 62132) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2021-02-16 |