NPI | 1649634957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A154918) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A154918) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2019-12-03 |