NPI | 1194767376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 34783) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 34783) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2010-03-08 |