NPI | 1225491590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A153304) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A153304) |
Enumeration Date | 2016-04-03 |
Last Update Date | 2019-11-15 |