NPI | 1366638074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036138012) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 50169) |
208M00000X Hospitalist (Licence: MA 239882) | |
Enumeration Date | 2007-09-18 |
Last Update Date | 2015-07-29 |