| NPI | 1891082962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 48962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 48962) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2018-12-28 |