NPI | 1013981471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 030640) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 030640) |
208M00000X Hospitalist (Licence: CT 030640) | |
Enumeration Date | 2006-02-14 |
Last Update Date | 2012-03-20 |