| NPI | 1659935203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 009605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R3126) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2022-08-31 |