| NPI | 1699270355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A18078) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 20A18078) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2022-09-29 |