| NPI | 1134408057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A121172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A121172) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2019-01-25 |