NPI | 1023155843 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 237809) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 237809) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2019-01-18 |