| NPI | 1891967782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 061860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A103105) |
| 207R00000X Internal Medicine (Licence: GA 061860) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2015-09-15 |