| NPI | 1982233649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A20120) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.167239) |
| 207R00000X Internal Medicine (Licence: CA 20A20120) | |
| 207R00000X Internal Medicine (Licence: IL 036.167239) | |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2025-10-30 |