| NPI | 1457578866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C144772) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 50003) |
| 207R00000X Internal Medicine (Licence: CA C144772) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2016-10-03 |