| NPI | 1649280983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 18932) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 18932) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2014-04-10 |