NPI | 1023084464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 24330) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 24330) |
Enumeration Date | 2006-02-26 |
Last Update Date | 2016-03-22 |