| NPI | 1487648499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 35749) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 35749) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2013-02-05 |