NPI | 1730119702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301089242) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301089242) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2016-02-04 |