| NPI | 1033670955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A196543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A196543) |
| 207R00000X Internal Medicine (Licence: MA 292208) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-07-02 |