NPI | 1659476232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 057977) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 057977) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2013-05-15 |