| NPI | 1528239951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME 2076) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228303) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2011-08-25 |