| NPI | 1205061595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C153148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301093716) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2018-09-07 |