| NPI | 1497702179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A96928) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 34861) |
| 207R00000X Internal Medicine (Licence: CA A96928) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2014-01-31 |