| NPI | 1629481080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 54374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 54374) |
| 208600000X Surgery (Licence: AZ r74568) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2025-02-07 |