| NPI | 1689671414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101 237621) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101237621) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-08-23 |