NPI | 1295937365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0009675) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: DE C1-0009675) |
208000000X Pediatrics (Licence: RI LP01077) | |
Enumeration Date | 2007-06-01 |
Last Update Date | 2018-11-29 |