| NPI | 1790072072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 49199) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 49199) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2015-09-02 |