NPI | 1710115969 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301090476) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301090476) |
Enumeration Date | 2009-06-26 |
Last Update Date | 2015-09-29 |