NPI | 1982704706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301070168) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301070168) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2017-04-06 |