| NPI | 1770632796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 052624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2004-01266) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-05-20 |