| NPI | 1144304734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036114658) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 2539) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-08-31 |