NPI | 1710147376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 45030) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R70171) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2023-05-05 |