| NPI | 1588192736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 70568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S5093) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2023-08-28 |