| NPI | 1215934526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A68636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A68636) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A68636) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A68636) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2018-11-01 |