| NPI | 1790802056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 70386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-37297) |
| 208M00000X Hospitalist (Licence: IA MD-37297) | |
| 207R00000X Internal Medicine (Licence: PA MT184873) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-05-20 |