| NPI | 1982067302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 10768) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2019-01274) |
| 207R00000X Internal Medicine (Licence: NC 250122) | |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2024-03-18 |