| NPI | 1063520120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A108923) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301077838) |
| 207R00000X Internal Medicine (Licence: MI 4301077838) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-12-29 |