| NPI | 1982950739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 52348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015021646) |
| 207R00000X Internal Medicine (Licence: AZ 52348) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2024-06-11 |