NPI | 1205179348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 62943-20) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 62943) |
Enumeration Date | 2013-03-27 |
Last Update Date | 2022-02-18 |