NPI | 1356367817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C52553) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD422309) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2012-02-27 |