| NPI | 1376936856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A22478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036144825) |
| 208M00000X Hospitalist (Licence: IL 036144825) | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2024-07-11 |