NPI | 1891744231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 25595) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME92707) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2011-07-05 |