NPI | 1104113786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME124548) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME124548) |
Enumeration Date | 2011-07-05 |
Last Update Date | 2021-01-28 |