NPI | 1639497902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 065162) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 65162) |
Enumeration Date | 2010-05-12 |
Last Update Date | 2017-05-19 |