NPI | 1184184335 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A20112) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 20A20112) |
Enumeration Date | 2019-03-22 |
Last Update Date | 2024-10-04 |