| NPI | 1144654880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A124265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A 124265) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2017-04-19 |