| NPI | 1740672708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 18787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102204563) |
| 208M00000X Hospitalist (Licence: AK 140667) | |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2024-08-30 |