| NPI | 1851407944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID M10440) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036095931) |
| 208000000X Pediatrics (Licence: IL 036095931) | |
| 207R00000X Internal Medicine (Licence: ID M-10440) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2011-10-31 |