| NPI | 1871802454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A129821) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 245851) |
| 207R00000X Internal Medicine (Licence: MA 245851) | |
| 207R00000X Internal Medicine (Licence: CA A129821) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2014-10-21 |