NPI | 1306005285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 42128) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: KY TP136) |
Enumeration Date | 2008-06-05 |
Last Update Date | 2008-12-11 |