| NPI | 1851554372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A103683) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD209762) |
| 208M00000X Hospitalist (Licence: OR MD209762) | |
| 208M00000X Hospitalist (Licence: CA A103683) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-01-18 |