NPI | 1255336335 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101013578) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 5101013578) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2024-05-22 |