| NPI | 1902803216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA G66058) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G660580) |
| 207R00000X Internal Medicine (Licence: CA G66058) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2017-12-13 |