| NPI | 1023338183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MS 22577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL32691) |
| 207R00000X Internal Medicine (Licence: MS 22577) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2013-10-15 |