NPI | 1548242076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 030589) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 030589) |
Enumeration Date | 2005-11-18 |
Last Update Date | 2017-03-22 |