| NPI | 1538253802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A70345) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A70345) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A70345) | |
| 208M00000X Hospitalist (Licence: CA 000000A70345) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-11-27 |