NPI | 1033293477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-02061) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G 87821) |
208M00000X Hospitalist (Licence: CA G87821) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2021-03-18 |