| NPI | 1295938819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A119048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A119048) |
| 207R00000X Internal Medicine (Licence: MD 0070443) | |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2021-06-14 |