| NPI | 1306295753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 010014) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA 20A16441) |
| 208M00000X Hospitalist (Licence: CA 20A16441) | |
| 208M00000X Hospitalist (Licence: MA 283007) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-10-18 |