| NPI | 1043519853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A12478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A12478) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: CA 20A12478) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2018-11-01 |