| NPI | 1184619835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 110953) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 110953) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2012-01-20 |