NPI | 1548319932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: DE C10003898) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD044311E) |
208D00000X General Practice (Licence: PA MD044311E) | |
208M00000X Hospitalist (Licence: PA MD044311E) | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2011-09-21 |