NPI | 1467490839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 77338) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 220041) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2021-02-04 |