NPI | 1215926373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME83127) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME83127) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2017-10-06 |