| NPI | 1144408832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A100904) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A100904) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2009-06-25 |