NPI | 1659684272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME121532) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME121532) |
Enumeration Date | 2010-07-24 |
Last Update Date | 2021-05-14 |