NPI | 1861579302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 11922) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 11922) |
208M00000X Hospitalist (Licence: ME 016064) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-08-03 |