NPI | 1568815686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1015028) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 1015028) |
Enumeration Date | 2016-07-14 |
Last Update Date | 2024-09-13 |