| NPI | 1881806693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 4649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ BD6377712-754) |
| 207R00000X Internal Medicine (Licence: AZ 4649) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-05-03 |