NPI | 1881081099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101021579) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 5101021579) |
Enumeration Date | 2015-04-26 |
Last Update Date | 2019-09-27 |