| NPI | 1245456672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A16597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A16597) |
| 207R00000X Internal Medicine (Licence: MI 5101016853) | |
| 207R00000X Internal Medicine (Licence: CT 48296) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2019-08-06 |