| NPI | 1932604261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A18972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A18972) |
| 208M00000X Hospitalist (Licence: OR DO203809) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2021-10-12 |