NPI | 1588979470 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 2531) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 2531) |
Enumeration Date | 2010-08-16 |
Last Update Date | 2023-04-11 |