| NPI | 1205027802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C55057) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0008369) |
| 208M00000X Hospitalist (Licence: CA C55057) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2016-11-22 |