| NPI | 1841455227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 051878) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 051878) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2013-08-22 |