| NPI | 1538390752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 244413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA in processing) |
| 207R00000X Internal Medicine (Licence: MA 244413) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2011-03-15 |