NPI | 1710972997 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A85242) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A85242) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2021-12-08 |