| NPI | 1144571167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C176423) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C176423) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2024-10-31 |