| NPI | 1063527463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A80790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A80790) |
| 208M00000X Hospitalist (Licence: CA A80790) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2024-07-18 |