| NPI | 1144413956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 49166) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO A97656) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2015-06-15 |