| NPI | 1780023770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A141532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT205008) |
| 207R00000X Internal Medicine (Licence: CA A141532) | |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2017-03-22 |