| NPI | 1104010818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 127039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A100003) |
| 207R00000X Internal Medicine (Licence: MT 127039) | |
| 208M00000X Hospitalist (Licence: CA A100003) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2023-08-22 |