NPI | 1124039284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME96384) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME96384) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2015-10-02 |