| NPI | 1255383873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A11044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 4423) |
| 207R00000X Internal Medicine (Licence: CA 20A11044) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-10-22 |