NPI | 1629416862 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 0055702) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0055702) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2023-01-25 |