| NPI | 1740257245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 44313-21) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 44313) |
| 208M00000X Hospitalist (Licence: WI 44313-21) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2012-12-17 |