| NPI | 1629253471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 12701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A12701) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2022-04-12 |