| NPI | 1225068968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101237749) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101237749) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2015-04-28 |