NPI | 1114283066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.011120) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.011120) |
208M00000X Hospitalist (Licence: IN 02004932A) | |
Enumeration Date | 2012-04-04 |
Last Update Date | 2022-07-21 |