| NPI | 1932185253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-36200) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA 36200) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IA 36200) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2014-03-21 |