| NPI | 1366644957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A97844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 12410) |
| 207R00000X Internal Medicine (Licence: CA A97844) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2021-01-28 |