NPI | 1023207115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.125535) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.125535) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2014-04-22 |