| NPI | 1669818308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 128885) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL 128885) |
| 208M00000X Hospitalist (Licence: AZ 51932) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2019-04-03 |