| NPI | 1417212721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 053613) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02529) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2015-05-18 |