| NPI | 1326234816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C159709) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 42647) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2019-02-26 |