NPI | 1588075626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 35.130914) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 28706) |
Enumeration Date | 2014-05-12 |
Last Update Date | 2024-09-25 |