| NPI | 1639128895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA G63369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G63369) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA G63369) | |
| 208M00000X Hospitalist (Licence: OR MD27975) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-04-07 |