| NPI | 1598330763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A195807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125077969) |
| 207R00000X Internal Medicine (Licence: CA A195807) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-08-01 |