| NPI | 1447357892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 36913) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 36505) |
| 207R00000X Internal Medicine (Licence: AZ 36913) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-06-06 |