| NPI | 1699903831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2012020694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009013276) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2012-07-10 |