| NPI | 1124347562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 253890) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 253890) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2013-06-10 |