| NPI | 1083887228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A112354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002530) |
| 207R00000X Internal Medicine (Licence: CA A112354) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2014-01-06 |