| NPI | 1104904945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G81027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G081027) |
| 208M00000X Hospitalist (Licence: CA G81027) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-10-11 |