NPI | 1962542860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 060300) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 238119-1) |
207R00000X Internal Medicine (Licence: GA 060300) | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2010-03-30 |