| NPI | 1316038698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: FL ME99073) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D61519) |
| 208M00000X Hospitalist (Licence: MD D61519) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-04-11 |