| NPI | 1518150226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A131571) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P21914) |
| 207R00000X Internal Medicine (Licence: CA A131571) | |
| Enumeration Date | 2007-08-26 |
| Last Update Date | 2014-10-29 |