| NPI | 1356594675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A104086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 13214) |
| 207R00000X Internal Medicine (Licence: CA A104086) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2021-11-05 |