| NPI | 1447201173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C132005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C132005) |
| 207R00000X Internal Medicine (Licence: FL ME73769) | |
| 208M00000X Hospitalist (Licence: FL ME73769) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2017-12-01 |