| NPI | 1891069381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A12629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A12629) |
| 207R00000X Internal Medicine (Licence: FL UO 2758) | |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2021-12-15 |