NPI | 1114416898 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 311589) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 311589) |
Enumeration Date | 2018-05-08 |
Last Update Date | 2021-12-01 |