| NPI | 1366593154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 54767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 54767) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 54767) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-11-15 |