| NPI | 1487610309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A81247) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A81247) |
| 208M00000X Hospitalist (Licence: CA A81247) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2011-06-06 |