| NPI | 1023428380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A20611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A20611) |
| 207R00000X Internal Medicine (Licence: FL OS15411) | |
| 208M00000X Hospitalist (Licence: FL OS15411) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2023-01-31 |