| NPI | 1467689273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101251270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241207) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2014-06-19 |