| NPI | 1477636215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-9469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-9469) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: HI MD-9469) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-10-13 |