| NPI | 1306013446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301099567) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301099567) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2011-08-09 |