| NPI | 1780670513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 1944) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 47673) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 1944) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2018-02-22 |