| NPI | 1992116982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A167764) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 67430) |
| 208M00000X Hospitalist (Licence: CA A167764) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2023-02-20 |