| NPI | 1013041144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 00025151) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 25151) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2015-07-13 |