| NPI | 1518962133 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301061786) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301061786) | 
| Enumeration Date | 2005-06-20 | 
| Last Update Date | 2017-03-15 |