| NPI | 1245229970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 031292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME70743) |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2015-09-17 |