| NPI | 1043355019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A118613) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD27726) |
| 208M00000X Hospitalist (Licence: OR MD27726) | |
| 207R00000X Internal Medicine (Licence: TX P0757) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-10-18 |