| NPI | 1124341771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 14616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 14616) |
| 207R00000X Internal Medicine (Licence: CA A105956) | |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2024-03-11 |