NPI | 1588657365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 33083) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 33083) |
Enumeration Date | 2005-08-26 |
Last Update Date | 2018-10-12 |