| NPI | 1669498630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA G50358) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: HI 11252) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2017-09-13 |