NPI | 1417284498 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 54013) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 54013) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2016-09-01 |