NPI | 1639391261 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.202108) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 222019) |
208000000X Pediatrics (Licence: MA 222019) | |
207R00000X Internal Medicine (Licence: LA MD.202108) | |
Enumeration Date | 2007-05-03 |
Last Update Date | 2017-04-05 |