NPI | 1164840724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A144151) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A144151) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2022-07-21 |