NPI | 1023064938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 58369) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 47598) |
208M00000X Hospitalist (Licence: GA 58369) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2024-05-21 |