| NPI | 1043770936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A192063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2022-0359) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-12-06 |