NPI | 1215001532 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A66297) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A66297) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2022-02-11 |