| NPI | 1215356217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A172288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 30138) |
| 208M00000X Hospitalist (Licence: NE 30138) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2023-08-29 |