| NPI | 1396125449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A19876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101021832) |
| 207R00000X Internal Medicine (Licence: CA 20A19876) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2022-11-17 |