| NPI | 1184948119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A111097) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 263444) |
| 208M00000X Hospitalist (Licence: CA A111097) | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2020-04-15 |