| NPI | 1407015126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101251048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101251048) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2014-01-30 |