| NPI | 1669935458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 65147) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R77280) |
| 208M00000X Hospitalist (Licence: AZ 65147) | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2022-06-27 |