NPI | 1487764676 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301101997) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-055852) |
207R00000X Internal Medicine (Licence: IN 01059499A) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2012-11-20 |