| NPI | 1871510651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C55468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 25174) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-07-27 |