NPI | 1265665293 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60277209) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 254487) |
207R00000X Internal Medicine (Licence: CA A 106015) | |
Enumeration Date | 2009-08-25 |
Last Update Date | 2013-04-19 |