NPI | 1104926641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A6330) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A6330) |
Enumeration Date | 2006-09-24 |
Last Update Date | 2017-10-04 |