| NPI | 1023133618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DE C1-0008285) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0008285) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-02-28 |