| NPI | 1972816718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60919220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 47801) |
| 207R00000X Internal Medicine (Licence: FL ME15707) | |
| 208M00000X Hospitalist (Licence: UT 9730774-1205) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2022-11-15 |