NPI | 1659578334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 69906) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036128588) |
207R00000X Internal Medicine (Licence: GA 069906) | |
Enumeration Date | 2007-06-27 |
Last Update Date | 2015-09-20 |