| NPI | 1225070931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA 0S014944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101013508) |
| 208M00000X Hospitalist (Licence: MI 5101013508) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2017-02-27 |