NPI | 1043226251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 252345) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00046525) |
208M00000X Hospitalist (Licence: WA MD00046525) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2011-08-30 |