| NPI | 1366446809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101241807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 10179) |
| 208M00000X Hospitalist (Licence: VA 101241807) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2011-07-06 |