| NPI | 1972984409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 007647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015017282) |
| 207R00000X Internal Medicine (Licence: AZ 007647) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2019-08-20 |