| NPI | 1861435992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 00013) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 200000013) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-09-18 |