| NPI | 1255399143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A72272) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A72272) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2007-07-08 |