| NPI | 1366427908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-14657) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 40046) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2010-01-04 |