| NPI | 1194794776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A73139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A73139) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A73139) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2022-05-25 |