NPI | 1073908513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 293223) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 293223) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2020-03-26 |