| NPI | 1225186570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD Pending) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SD 7017) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-06-08 |