NPI | 1740569573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 071995) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6625) |
Enumeration Date | 2011-08-10 |
Last Update Date | 2015-09-30 |