| NPI | 1942548565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 55379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 55379) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2018-10-16 |