| NPI | 1902851744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA a83515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A83515) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-04-09 |