| NPI | 1457558132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL 11019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 1086) |
| 207R00000X Internal Medicine (Licence: FL 11019) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2011-01-25 |