| NPI | 1649492547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301082318) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 5315027462) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-03-14 |