NPI | 1730310137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME105219) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME105219) |
Enumeration Date | 2009-08-03 |
Last Update Date | 2016-01-19 |