NPI | 1205813102 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 024407) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 24407) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2012-05-22 |