| NPI | 1093068454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A123703) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A123703) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2017-05-08 |