NPI | 1669457107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 39474) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 39474) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2010-11-16 |