| NPI | 1083971014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A166082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 50491) |
| 208M00000X Hospitalist (Licence: AZ 50491) | |
| 208M00000X Hospitalist (Licence: NM MD2019-0907) | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2022-11-03 |