| NPI | 1740712397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI DOS-2094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A16888) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-07-19 |