| NPI | 1972682409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 36216) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 36216) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-01-23 |