| NPI | 1700146081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 50320) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A126644) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2019-02-07 |