| NPI | 1679079958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A173308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA PTL58) |
| 207R00000X Internal Medicine (Licence: CA A173308) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-04-26 |