| NPI | 1205023512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 238380) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 045831) |
| 207R00000X Internal Medicine (Licence: CT 045831) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2017-02-20 |