NPI | 1629193818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC LL 29053) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 29053) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2019-09-25 |