NPI | 1205822632 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 33442) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 33442) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2015-09-18 |