NPI | 1265465603 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME78525) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME78525) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2017-07-05 |