| NPI | 1043311673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 9629) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MT 9629) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-11-18 |