| NPI | 1043300858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2005-01139) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2005-01139) |
| 208M00000X Hospitalist (Licence: NC 2005-01139) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-07-15 |