| NPI | 1063694131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 47626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 47626) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2014-08-14 |