| NPI | 1528222593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 45028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R70572) |
| 208M00000X Hospitalist (Licence: AZ 45028) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2019-06-26 |