| NPI | 1033197082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C55842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C55842) |
| 207R00000X Internal Medicine (Licence: PA MD426854) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2017-09-21 |