| NPI | 1699903492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A122532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R71494) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A122532) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-02-21 |