NPI | 1063513604 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A96256) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A96256) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2012-02-09 |