NPI | 1063688802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A109825) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A109825) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2011-09-21 |