| NPI | 1457887838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A171024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 20046) |
| 208M00000X Hospitalist (Licence: NV 20046) | |
| 207R00000X Internal Medicine (Licence: CA A171024) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2021-01-27 |