NPI | 1073931895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A170994) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 64933) |
208M00000X Hospitalist (Licence: CA A170994) | |
Enumeration Date | 2014-03-29 |
Last Update Date | 2024-04-19 |