| NPI | 1639470859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 62010) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101248573) |
| 207R00000X Internal Medicine (Licence: AZ 62010) | |
| 208M00000X Hospitalist (Licence: VA 0101248573) | |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2021-02-18 |