| NPI | 1104095256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A10316) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR DO126121) |
| 207R00000X Internal Medicine (Licence: OR DO126121) | |
| 208M00000X Hospitalist (Licence: CA 20A10316) | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2016-11-23 |