NPI | 1023079209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301060240) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301060240) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2016-09-02 |