NPI | 1629429980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A159657) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A159657) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2023-09-19 |