| NPI | 1588809040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 53255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD12903) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2014-08-08 |