| NPI | 1346408200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101241211) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D0067589) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2014-10-03 |