| NPI | 1699094201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 53426) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: CT 53426) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2014-08-07 |