NPI | 1124468293 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD462132) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064018) |
207R00000X Internal Medicine (Licence: PA MD462132) | |
Enumeration Date | 2013-07-03 |
Last Update Date | 2024-11-13 |