| NPI | 1477790657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A106200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A106200) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2025-02-12 |