| NPI | 1124550926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A17826) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.156924) |
| 208M00000X Hospitalist (Licence: IL 036.156924) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2024-03-14 |