NPI | 1366709818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 29230) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 29230) |
208000000X Pediatrics (Licence: OK 29230) | |
Enumeration Date | 2012-04-20 |
Last Update Date | 2016-07-01 |