| NPI | 1194119008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A39459) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO.1975) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA 20A18378) | |
| 208M00000X Hospitalist (Licence: CA 20A18378) | |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2023-11-08 |