NPI | 1255789400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 305548) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 305548) |
Enumeration Date | 2016-05-27 |
Last Update Date | 2020-06-12 |