| NPI | 1538798236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A22591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A22591) |
| 208000000X Pediatrics (Licence: CA 20A22591) | |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2024-07-22 |