NPI | 1174557052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 25150) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 25150) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2014-05-12 |