NPI | 1871587329 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX G5615) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX G5615) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2008-01-14 |