NPI | 1124027107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 047557) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 047557) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2019-10-01 |