| NPI | 1023268547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA a110981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A110981) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2017-05-09 |