NPI | 1982845657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 072040) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13366) |
207R00000X Internal Medicine (Licence: GA 072040) | |
Enumeration Date | 2009-03-10 |
Last Update Date | 2018-03-08 |