NPI | 1891905220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 065189) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 37868) |
208M00000X Hospitalist (Licence: GA 65189) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-04-17 |