| NPI | 1528228525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301104044) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME94721) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2014-07-21 |