| NPI | 1467412205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2005-01133) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2005-01133) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2018-05-17 |