| NPI | 1326032202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301067781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A81081) |
| 208M00000X Hospitalist (Licence: MI 4301067781) | |
| 208M00000X Hospitalist (Licence: CA A81081) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2018-11-12 |