| NPI | 1972511012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA G66403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G66403) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2021-10-26 |