| NPI | 1750737474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 011202) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 20359) |
| 207R00000X Internal Medicine (Licence: AZ 011202) | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2024-09-11 |