| NPI | 1376552638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A99762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 39125) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-10-26 |