| NPI | 1033313069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301084372) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301084372) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2009-12-02 |