| NPI | 1144478736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2011-01350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01065806A) |
| 207R00000X Internal Medicine (Licence: NC 2011-01350) | |
| 208M00000X Hospitalist (Licence: IN 01065806A) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2012-04-05 |