NPI | 1033472899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 59376) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD457504) |
207R00000X Internal Medicine (Licence: TN 59376) | |
Enumeration Date | 2012-06-18 |
Last Update Date | 2022-03-21 |