NPI | 1871912477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141794) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A140697) |
Enumeration Date | 2014-04-10 |
Last Update Date | 2023-03-17 |