| NPI | 1891948089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 5629721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 56297) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2012-05-08 |