| NPI | 1407119852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A14043) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO1944) |
| 207R00000X Internal Medicine (Licence: NV SL0902) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2018-04-11 |