| NPI | 1255327425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 35468) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA 35468) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2014-03-04 |