NPI | 1548269707 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C51821) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 192922) |
207R00000X Internal Medicine (Licence: CA C51821) | |
Enumeration Date | 2005-07-19 |
Last Update Date | 2017-11-20 |