NPI | 1407113582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME121779) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME121779) |
Enumeration Date | 2012-04-13 |
Last Update Date | 2019-11-13 |