| NPI | 1215190418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.202244) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: LA 202244) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2011-02-24 |