| NPI | 1003127655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A128437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02034) |
| 207R00000X Internal Medicine (Licence: CA A128437) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2018-03-17 |