NPI | 1083665806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0010876) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 152379) |
208M00000X Hospitalist (Licence: MA 152379) | |
Enumeration Date | 2006-05-15 |
Last Update Date | 2014-05-28 |