NPI | 1134230535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35088602) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35088602) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2019-05-15 |