| NPI | 1619095841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A104429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A104429) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A104429) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA A104429) | |
| 208M00000X Hospitalist (Licence: AZ 37463) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-06-23 |