| NPI | 1710296371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A105377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GU M1997) |
| 207R00000X Internal Medicine (Licence: CA A105377) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GU M1997) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A105377) | |
| 208M00000X Hospitalist (Licence: GU M1997) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2021-12-15 |