NPI | 1205023512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 238380) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 045831) |
207R00000X Internal Medicine (Licence: CT 045831) | |
Enumeration Date | 2007-10-01 |
Last Update Date | 2017-02-20 |