| NPI | 1568444974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MS 15061) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 15061) |
| 207R00000X Internal Medicine (Licence: MS 15061) | |
| Enumeration Date | 2005-11-20 |
| Last Update Date | 2008-04-15 |