NPI | 1679969315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 62486) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2295751) |
207R00000X Internal Medicine (Licence: CT 62486) | |
Enumeration Date | 2015-04-09 |
Last Update Date | 2019-04-18 |