| NPI | 1275735193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A95614) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA A95614) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-12-14 |