| NPI | 1184694093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2005-01880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 23263) |
| 208M00000X Hospitalist (Licence: NC 2005-01880) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2017-01-09 |