| NPI | 1659578334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 69906) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036128588) |
| 207R00000X Internal Medicine (Licence: GA 069906) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2015-09-20 |