| NPI | 1972983427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C191908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 18954) |
| 208M00000X Hospitalist (Licence: NV 18954) | |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2025-01-08 |