NPI | 1558899153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.150118) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.150118) |
Enumeration Date | 2017-05-25 |
Last Update Date | 2021-06-14 |