| NPI | 1639152044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C54005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 047736) |
| 208M00000X Hospitalist (Licence: GA 047736) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2022-08-30 |