NPI | 1083641484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: DE C1-0004910) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C10004910) |
207R00000X Internal Medicine (Licence: MD D0061325) | |
Enumeration Date | 2006-06-28 |
Last Update Date | 2009-03-03 |