| NPI | 1801007562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 41816) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 41816) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2017-04-17 |