| NPI | 1457594400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA LA203514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.122355) |
| 208M00000X Hospitalist (Licence: AZ AZ42397) | |
| 208M00000X Hospitalist (Licence: HI MD15439) | |
| 208M00000X Hospitalist (Licence: LA LA203514) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2011-06-30 |