| NPI | 1649567348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A150019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-122775) |
| 207R00000X Internal Medicine (Licence: CA A150019) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2021-11-15 |