| NPI | 1992715007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD172191) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A91093) |
| 207R00000X Internal Medicine (Licence: NM MD2012-0199) | |
| 207R00000X Internal Medicine (Licence: OR MD172191) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2017-04-04 |