| NPI | 1760603534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 046499) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA G87948) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2017-01-18 |