| NPI | 1730403262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-8535) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-8535) |
| 208000000X Pediatrics (Licence: AR E-8535) | |
| 208M00000X Hospitalist (Licence: AR E-8535) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2018-11-07 |