NPI | 1124036736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101255644) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101255644) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2024-04-17 |