| NPI | 1851787428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A151873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 19464) |
| 207R00000X Internal Medicine (Licence: CA A151873) | |
| 208M00000X Hospitalist (Licence: NV 19464) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2020-01-30 |