| NPI | 1134153380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A94186) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301082217) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-02-16 |