| NPI | 1841483229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 4672) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 4672) |
| 208M00000X Hospitalist (Licence: AZ 4672) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2010-09-02 |