| NPI | 1407814486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D055625) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C55132) |
| 208M00000X Hospitalist (Licence: CA C55132) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2017-08-18 |