NPI | 1174972012 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 157102) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME148290) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2023-09-14 |