NPI | 1104077908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO CDR.0005269) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P0281) |
207R00000X Internal Medicine (Licence: CO CDR.0005269) | |
Enumeration Date | 2008-10-10 |
Last Update Date | 2025-09-02 |