| NPI | 1750519708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A115196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A115196) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2014-12-16 |