| NPI | 1295812329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 46289) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA C54121) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-05-28 |