NPI | 1386052165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 58409) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 58409) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2019-01-02 |