| NPI | 1659313567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A78289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A78289) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A78289) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2017-09-30 |