| NPI | 1558447185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 00932) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 932) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2013-08-14 |