| NPI | 1669436382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C53966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS KS 04-26430) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2010-02-22 |