| NPI | 1962431940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A89048) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A89048) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2019-10-22 |