| NPI | 1952398455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI 14676) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101240759) |
| 207R00000X Internal Medicine (Licence: DC MD036378) | |
| 207R00000X Internal Medicine (Licence: TN 39014) | |
| 208M00000X Hospitalist (Licence: TN 39014) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-07-30 |