| NPI | 1124042288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301080432) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301080432) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-10-03 |