| NPI | 1407089451 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A120108) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A120108) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2025-01-10 |