| NPI | 1003022682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A109648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ BD6377712-952) |
| 208M00000X Hospitalist (Licence: CA A109648) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2017-09-30 |