NPI | 1033559554 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 006870) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 006870) |
207R00000X Internal Medicine (Licence: AZ R2317) | |
Enumeration Date | 2013-06-28 |
Last Update Date | 2018-12-31 |