NPI | 1366636573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A99379) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99379) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2017-04-12 |