| NPI | 1780815522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A12236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 008808) |
| 207R00000X Internal Medicine (Licence: MI 5101018515) | |
| 207R00000X Internal Medicine (Licence: CA 20A12236) | |
| 208M00000X Hospitalist (Licence: AZ 008808) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2022-05-26 |