| NPI | 1265694962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A103425) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 239909) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2014-02-04 |