| NPI | 1881632081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A68160) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A68160) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-03-14 |