NPI | 1851483689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: DE C10007681) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C10007681) |
208D00000X General Practice (Licence: DE C10007681) | |
Enumeration Date | 2006-09-29 |
Last Update Date | 2008-05-20 |