| NPI | 1114990074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2001019983) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2001019983) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2014-06-18 |