| NPI | 1487962494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2010033579) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2010033579) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2015-02-24 |