| NPI | 1124418488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A146721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 146721) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2021-10-21 |