| NPI | 1174552731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM A-1354-06) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 006162) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2017-06-26 |