| NPI | 1174799092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD155471) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD155471) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2012-01-09 |