| NPI | 1689088361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A148958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 62843) |
| 207R00000X Internal Medicine (Licence: CA A148958) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2023-07-24 |