NPI | 1639160716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101030166) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101030166) |
Enumeration Date | 2005-10-29 |
Last Update Date | 2018-03-17 |