| NPI | 1356367817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C52553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD422309) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2012-02-27 |