| NPI | 1639337496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD19335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 048395) |
| 208M00000X Hospitalist (Licence: CT 048395) | |
| 208000000X Pediatrics (Licence: CT 048395) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2012-11-16 |