| NPI | 1467713842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 9640193-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73385) |
| 208000000X Pediatrics (Licence: AZ R73385) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2023-07-07 |