| NPI | 1164414710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01051179A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01051179A) |
| 208M00000X Hospitalist (Licence: IN 01051179A) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2008-03-18 |