| NPI | 1780034314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 008358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 3428) |
| 207R00000X Internal Medicine (Licence: NV DO2504) | |
| 207R00000X Internal Medicine (Licence: NV SL1147) | |
| 207R00000X Internal Medicine (Licence: AZ 008358) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2022-09-02 |