| NPI | 1619937521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A108069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01069205A) |
| 207R00000X Internal Medicine (Licence: CA A108069) | |
| 207R00000X Internal Medicine (Licence: AZ 34799) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2018-11-01 |