NPI | 1053531731 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2015040823) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-33829) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2016-12-27 |