| NPI | 1205100260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS 12706) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS 12706) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2016-06-15 |