| NPI | 1740360999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 63804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 63804) |
| 208M00000X Hospitalist (Licence: CA 000000G60927) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-01-07 |