NPI | 1043667355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01083561A) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A154778) |
Enumeration Date | 2016-05-17 |
Last Update Date | 2023-05-01 |