NPI | 1669471116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301079037) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301079037) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2024-02-21 |