NPI | 1194179333 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD16585) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D90245) |
Enumeration Date | 2016-04-13 |
Last Update Date | 2022-07-13 |