NPI | 1245215847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 38673) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 38673) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2014-12-05 |