| NPI | 1033138565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: CO 039337) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 39337) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-12-21 |