| NPI | 1336163922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 46666-20) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: WI 46666020) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-02-28 |