| NPI | 1730156043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS006838L) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS006838L) |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2007-11-29 |