| NPI | 1245450337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D87475) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX M6373) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2019-09-13 |