| NPI | 1508068495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 44564) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 44564) |
| 207R00000X Internal Medicine (Licence: DE C7-0003789) | |
| 208000000X Pediatrics (Licence: AZ 44564) | |
| 208000000X Pediatrics (Licence: DE C7-0003789) | |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2021-03-30 |