NPI | 1093058307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 202203303) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: DC MD044449) |
208M00000X Hospitalist (Licence: MD D0081092) | |
Enumeration Date | 2013-04-04 |
Last Update Date | 2024-08-07 |