| NPI | 1669614624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 074483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A124216) |
| 207R00000X Internal Medicine (Licence: GA 074483) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2016-02-01 |