NPI | 1013411420 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS021450) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 70556) |
208M00000X Hospitalist (Licence: NJ 25MB12059300) | |
207R00000X Internal Medicine (Licence: CO DR.0067021) | |
207R00000X Internal Medicine (Licence: CT 70556) | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2024-02-01 |