NPI | 1285832113 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 05-34376) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9406849) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2011-08-19 |