| NPI | 1841552429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A13905) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R2129) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2021-12-15 |