NPI | 1063419364 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A615370) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A615370) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A615370) | |
Enumeration Date | 2005-06-30 |
Last Update Date | 2022-06-07 |