| NPI | 1003916248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C52736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-25750) |
| 207R00000X Internal Medicine (Licence: CA C52736) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2017-11-13 |