| NPI | 1558503086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A117078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A117078) |
| 208M00000X Hospitalist (Licence: NV 18175) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2018-09-17 |