| NPI | 1801274576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 186126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD18486) |
| 207R00000X Internal Medicine (Licence: LA 310854) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2023-10-16 |