| NPI | 1407341571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A174852) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.156384) |
| 207R00000X Internal Medicine (Licence: CA A174852) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2022-04-26 |