| NPI | 1952751596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A17233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV Sl1152) |
| 207R00000X Internal Medicine (Licence: CA 20A17233) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2019-10-03 |