NPI | 1114966777 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A65330) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A65330) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2021-10-20 |