NPI | 1780642090 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D59190) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101249762) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2011-11-09 |