NPI | 1922077569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV LL1538) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 12479) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2007-10-03 |