| NPI | 1073931895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A170994) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 64933) |
| 208M00000X Hospitalist (Licence: CA A170994) | |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2024-04-19 |