NPI | 1205127859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101253655) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101253655) |
Enumeration Date | 2011-04-29 |
Last Update Date | 2022-07-22 |