NPI | 1306888649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD24058) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD24058) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2021-07-22 |