NPI | 1013240035 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME109075) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV WV-SE-1725) |
208M00000X Hospitalist (Licence: WV WV-SE-1725) | |
208M00000X Hospitalist (Licence: FL ME109075) | |
Enumeration Date | 2009-09-09 |
Last Update Date | 2021-05-04 |