| NPI | 1285868729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A119388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A119388) |
| 208M00000X Hospitalist (Licence: MO 2019042451) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2019-12-04 |