NPI | 1033138565 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CO 039337) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 39337) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2007-12-21 |