| NPI | 1013935089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A75269) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A75269) |
| 207R00000X Internal Medicine (Licence: CA A75269) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-05-03 |