NPI | 1174705164 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 43463) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 43463) |
Enumeration Date | 2007-11-30 |
Last Update Date | 2010-06-23 |