| NPI | 1780970921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 70831) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A133038) |
| 208M00000X Hospitalist (Licence: GA 70831) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2022-11-17 |