| NPI | 1326006974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 47184-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 47184) |
| 208M00000X Hospitalist (Licence: WI 47184-20) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-04-03 |