| NPI | 1417904442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 24395) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 203440) |
| 207R00000X Internal Medicine (Licence: LA 203440) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2016-02-12 |