| NPI | 1821368648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A147632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-02500) |
| 207R00000X Internal Medicine (Licence: CA A147632) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2013-02500) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2023-07-24 |