NPI | 1205850310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME95865) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME95865) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2008-01-18 |