NPI | 1619178159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2006019871) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2009018136) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2024-05-09 |