| NPI | 1003254483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 16620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS018634) |
| 207R00000X Internal Medicine (Licence: CA 16620) | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2021-11-17 |