| NPI | 1205924172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200400658) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 200400658) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2018-03-17 |