NPI | 1720497514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 138568) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 138568) |
Enumeration Date | 2014-08-06 |
Last Update Date | 2021-09-08 |