NPI | 1588669782 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME 013036) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: ME 013036) |
Enumeration Date | 2005-06-15 |
Last Update Date | 2020-08-31 |