| NPI | 1306810338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 33266) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: AZ 33266) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2011-01-25 |