| NPI | 1952361461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A93856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A93856) |
| 207R00000X Internal Medicine (Licence: NM MD20060037) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2023-03-07 |