| NPI | 1588991855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01069813) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-01946) |
| 208M00000X Hospitalist (Licence: NC 2009-01946) | |
| Enumeration Date | 2009-11-07 |
| Last Update Date | 2011-12-06 |