NPI | 1669935458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 65147) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R77280) |
208M00000X Hospitalist (Licence: AZ 65147) | |
Enumeration Date | 2019-04-09 |
Last Update Date | 2022-06-27 |