NPI | 1912360918 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 17165) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A17165) |
208M00000X Hospitalist (Licence: CA 20A17165) | |
Enumeration Date | 2016-03-29 |
Last Update Date | 2022-03-04 |