NPI | 1205124153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD452843) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452843) |
Enumeration Date | 2011-07-13 |
Last Update Date | 2016-10-10 |