| NPI | 1134232010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 13897) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 13897) |
| 207R00000X Internal Medicine (Licence: CA A87368) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-03-15 |