| NPI | 1598714875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA 26971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 26971) |
| 207R00000X Internal Medicine (Licence: NE 21998) | |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2007-10-19 |