| NPI | 1932475191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 050861) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 050861) |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2012-08-30 |