NPI | 1457650608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 271943) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271943) |
Enumeration Date | 2011-03-26 |
Last Update Date | 2019-04-24 |