NPI | 1376582130 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042-0012835) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200001374) |
208M00000X Hospitalist (Licence: NC 200001374) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2014-02-19 |