NPI | 1891768222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 49440) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 49440) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2018-03-17 |