NPI | 1669818308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 128885) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL 128885) |
208M00000X Hospitalist (Licence: AZ 51932) | |
Enumeration Date | 2013-05-21 |
Last Update Date | 2019-04-03 |