| NPI | 1811197973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A99074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99074) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2015-05-18 |