| NPI | 1841586906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 65435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME120128) |
| 207R00000X Internal Medicine (Licence: AZ 65435) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2023-08-22 |