| NPI | 1437672763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A169311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A169311) |
| 207R00000X Internal Medicine (Licence: MI 4301113006) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2020-11-11 |