| NPI | 1487613691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 31669) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 31669) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2010-09-16 |