| NPI | 1306173505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C153752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 14504) |
| 208M00000X Hospitalist (Licence: NV 14504) | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2020-03-10 |