| NPI | 1336160670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2007-00051) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 058131) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-08-10 |