NPI | 1083077119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 281703) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 281703) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2020-01-22 |