NPI | 1356684096 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 141962) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 141962) |
Enumeration Date | 2013-04-01 |
Last Update Date | 2023-08-29 |