NPI | 1750346482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD171953) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 25887) |
208000000X Pediatrics (Licence: KY 25887) | |
Enumeration Date | 2006-04-18 |
Last Update Date | 2016-04-29 |