| NPI | 1588731871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 52059) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 52059-020) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2015-07-28 |