| NPI | 1528354925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 48711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61199440) |
| 207R00000X Internal Medicine (Licence: AZ 48711) | |
| 207R00000X Internal Medicine (Licence: AZ R72475) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2023-05-10 |