| NPI | 1376656413 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD33000) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: DC MD33000) | 
| Enumeration Date | 2006-08-15 | 
| Last Update Date | 2013-08-01 |