| NPI | 1073741427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 241778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252328) |
| 208M00000X Hospitalist (Licence: MA 252328) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2014-05-09 |