NPI | 1336431568 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A136957) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A136957) |
Enumeration Date | 2011-05-05 |
Last Update Date | 2020-02-25 |