| NPI | 1093824211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-35694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 35694) |
| 208M00000X Hospitalist (Licence: IA 35694) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-03-18 |