| NPI | 1730284456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME106228) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35087907) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-09-16 |