| NPI | 1659991966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A183680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A183680) |
| 208M00000X Hospitalist (Licence: CA A183680) | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2024-08-27 |