| NPI | 1013949312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 46474-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 46474020) |
| 208M00000X Hospitalist (Licence: WI 46474-20) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-10-09 |