| NPI | 1124257845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 070889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D73656) |
| 207R00000X Internal Medicine (Licence: GA 070889) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2016-02-27 |