NPI | 1184647166 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN md14066) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 14066) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2020-07-02 |