| NPI | 1982814398 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA CA A107372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088466) |
| 208M00000X Hospitalist (Licence: CA A107372) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-11-16 |