NPI | 1700083482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 28298) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 28298) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2007-11-05 |