NPI | 1083715007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 19528) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 19528) |
207R00000X Internal Medicine (Licence: NC 200601484) | |
207R00000X Internal Medicine (Licence: CA C168711) | |
Enumeration Date | 2006-09-25 |
Last Update Date | 2024-06-16 |