NPI | 1306104377 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 266247) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 266247) |
Enumeration Date | 2012-04-27 |
Last Update Date | 2017-04-13 |