| NPI | 1720549108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A176993) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA PTL1720) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2022-07-06 |