| NPI | 1801324264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A167405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 198799) |
| 207R00000X Internal Medicine (Licence: CA A167405) | |
| 208M00000X Hospitalist (Licence: OR 198799) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2024-03-22 |