NPI | 1962668673 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 40825) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 40825) |
Enumeration Date | 2008-08-01 |
Last Update Date | 2017-04-15 |