| NPI | 1962465419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D61227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D61227) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2013-07-30 |