NPI | 1417344086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 274806) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA MK1156276G) |
Enumeration Date | 2015-04-22 |
Last Update Date | 2023-02-09 |