NPI | 1104321140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 308840) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 308840) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2023-09-26 |