| NPI | 1326223306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A98208) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR CP209872) |
| 207R00000X Internal Medicine (Licence: MD D92157) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2022-06-21 |