| NPI | 1043490253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 60155) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 47570) |
| 208M00000X Hospitalist (Licence: AZ 47570) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2016-08-06 |