| NPI | 1265588610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 239286) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 239286) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-04-05 |