| NPI | 1104123017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C144266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247038) |
| Enumeration Date | 2011-02-13 |
| Last Update Date | 2022-09-16 |