| NPI | 1316613631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A194753) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A194753) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2025-09-18 |