| NPI | 1922234657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C145764) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 34818) |
| 207R00000X Internal Medicine (Licence: CA C145764) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2017-02-03 |