NPI | 1942300454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101014936) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 5101014936) |
Enumeration Date | 2006-09-24 |
Last Update Date | 2016-09-06 |