NPI | 1255360061 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.22061) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AL MD.22061) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2020-04-08 |