| NPI | 1003235243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A152926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 1118626) |
| 207R00000X Internal Medicine (Licence: TN 56261) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-03-07 |