| NPI | 1679661078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D50987) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD d50987) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-12-31 |