NPI | 1760709562 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 35692) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: SC MD35692) |
Enumeration Date | 2010-05-03 |
Last Update Date | 2019-01-03 |