| NPI | 1366423196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 225848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 225848) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2009-06-10 |