| NPI | 1518254457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A130090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098205) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2021-10-12 |