NPI | 1164414710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01051179A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01051179A) |
208M00000X Hospitalist (Licence: IN 01051179A) | |
Enumeration Date | 2005-08-19 |
Last Update Date | 2008-03-18 |