| NPI | 1285652388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 064198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A77318) |
| 207R00000X Internal Medicine (Licence: GA 064198) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-10-30 |