NPI | 1902801863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS9450) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS9450) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2015-01-30 |