NPI | 1790751204 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME104951) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME104951) |
Enumeration Date | 2006-02-24 |
Last Update Date | 2019-05-01 |