| NPI | 1457735300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A15041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A15041) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2023-11-29 |