| NPI | 1023018090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.14277R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 14277R) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2017-04-04 |