| NPI | 1447506712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 50070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301099995) |
| 207R00000X Internal Medicine (Licence: AZ 50070) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2021-02-18 |