| NPI | 1902191042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A140524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P8421) |
| 207R00000X Internal Medicine (Licence: CA A140524) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2022-02-24 |