NPI | 1780693648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M3836) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: ID M-16070) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2022-04-14 |