NPI | 1609262633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 277405) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 61741) |
Enumeration Date | 2015-04-07 |
Last Update Date | 2019-02-01 |