| NPI | 1225175029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A102499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301093044) |
| 207R00000X Internal Medicine (Licence: CA AFE102499) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2017-12-04 |