| NPI | 1588660849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C54344) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C54344) |
| 207R00000X Internal Medicine (Licence: FL ME74898) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2017-05-30 |