NPI | 1124140249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301086437) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301086437) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-08-27 |