| NPI | 1487072559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A170093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104969) |
| 208M00000X Hospitalist (Licence: MI 4301104969) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2022-02-10 |