| NPI | 1306808225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101058380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD034331) |
| 208M00000X Hospitalist (Licence: DC MD034331) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2012-02-08 |