| NPI | 1043553746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A158874) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A158874) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA 31-17681) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2022-02-24 |