| NPI | 1881806818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A 99165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99165) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-06-11 |