| NPI | 1053409797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 38840) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 038840) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-06-18 |