| NPI | 1548269707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C51821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 192922) |
| 207R00000X Internal Medicine (Licence: CA C51821) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2017-11-20 |