NPI | 1124386198 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA a129976) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA a129976) |
208M00000X Hospitalist (Licence: CA a129976) | |
Enumeration Date | 2012-04-27 |
Last Update Date | 2016-08-05 |