| NPI | 1669614871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E7642) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-7642) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2013-02-12 |