| NPI | 1568422079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C149814) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD20050731) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2018-11-01 |