| NPI | 1417116724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 254311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 1234) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2015-05-27 |