NPI | 1508817842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 40981) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 40981) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2015-11-16 |