| NPI | 1407113012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 15720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 15720) |
| 208M00000X Hospitalist (Licence: CA A123331) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2021-06-17 |