NPI | 1174510002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 32921) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 32921) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2022-05-20 |