| NPI | 1497862510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A91463) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 37458) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-02-01 |