NPI | 1518966415 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR 45035) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 45035) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2024-05-31 |