| NPI | 1649392788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD041665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088080) |
| 208M00000X Hospitalist (Licence: MI 4301088080) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2013-09-12 |