| NPI | 1124018262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 2oa6856) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 2oa6856) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2014-11-17 |