| NPI | 1922382407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A11894) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A11894) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2016-12-28 |