NPI | 1174058937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 19944) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 19944) |
Enumeration Date | 2017-04-28 |
Last Update Date | 2020-09-01 |