| NPI | 1841201860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.025294) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 35540) |
| 207R00000X Internal Medicine (Licence: LA MD.025294) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-02-19 |