NPI | 1881060283 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 55296) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 55296) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2024-02-20 |