| NPI | 1942250378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101243960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME83788) |
| 208M00000X Hospitalist (Licence: FL ME83788) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2013-03-20 |