| NPI | 1851312318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 56228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD7612) |
| 207R00000X Internal Medicine (Licence: OR MD28757) | |
| 208M00000X Hospitalist (Licence: HI MD7612) | |
| 208M00000X Hospitalist (Licence: OR MD28757) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-08-07 |