| NPI | 1043285232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C55692) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036113148) |
| 207R00000X Internal Medicine (Licence: IL 036113148) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2015-09-16 |