| NPI | 1215928197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C54721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0063196) |
| 208M00000X Hospitalist (Licence: FL ME169725) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2024-08-15 |