| NPI | 1174838924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 16799) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 32711) |
| 208M00000X Hospitalist (Licence: NH 16799) | |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2015-01-06 |