| NPI | 1992095434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A126240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 61470) |
| 207R00000X Internal Medicine (Licence: AZ 51959) | |
| 207R00000X Internal Medicine (Licence: CA A126240) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2019-07-08 |