NPI | 1871597211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 20862) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 20862) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2015-10-29 |