NPI | 1649694720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 49062) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 49062) |
Enumeration Date | 2014-02-10 |
Last Update Date | 2022-05-25 |