| NPI | 1265665293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60277209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 254487) |
| 207R00000X Internal Medicine (Licence: CA A 106015) | |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2013-04-19 |