| NPI | 1396824546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C145619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C145619) |
| 207R00000X Internal Medicine (Licence: VA 0101034688) | |
| 208M00000X Hospitalist (Licence: VA 0101034688) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-07-19 |