NPI | 1598752834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 158451) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 158451) |
Enumeration Date | 2005-10-03 |
Last Update Date | 2017-09-25 |