| NPI | 1710099262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D64957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D64957) |
| 207R00000X Internal Medicine (Licence: MD C02622) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-10-17 |