| NPI | 1184880528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C145763) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11014613A) |
| 208M00000X Hospitalist (Licence: MO 2011014312) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2022-03-25 |