| NPI | 1811191729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 52538) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 52538) |
| 208M00000X Hospitalist (Licence: WI 52538-20) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2013-02-12 |