NPI | 1891937785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A128639) |
Additional Taxonomies | 208D00000X General Practice (Licence: NY 60 250813) |
208M00000X Hospitalist (Licence: CA A128639) | |
Enumeration Date | 2009-03-24 |
Last Update Date | 2022-09-21 |