NPI | 1174540124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 026408) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 026408) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2021-02-03 |