| NPI | 1497788905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2005029067) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 2005029067) |
| 208M00000X Hospitalist (Licence: MO 2005029067) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2013-04-04 |