| NPI | 1528325065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2019-0032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 50733) |
| 208M00000X Hospitalist (Licence: AZ 50733) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2019-02-22 |