NPI | 1053422642 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 36867) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 36867) |
208M00000X Hospitalist (Licence: IN 01054037A) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-04-17 |