NPI | 1134217045 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152154) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 33214) |
208M00000X Hospitalist (Licence: GA 33214) | |
Enumeration Date | 2006-10-10 |
Last Update Date | 2022-01-04 |