| NPI | 1194902874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301106262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A104506) |
| 208M00000X Hospitalist (Licence: CA A104506) | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2015-05-20 |