NPI | 1134284524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 113156) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME DO4081) |
207R00000X Internal Medicine (Licence: WA OP61628327) | |
207R00000X Internal Medicine (Licence: MO 113156) | |
207R00000X Internal Medicine (Licence: NV DO3147) | |
207R00000X Internal Medicine (Licence: KS 0538577) | |
208M00000X Hospitalist (Licence: ME DO4081) | |
207R00000X Internal Medicine (Licence: MO D0113156) | |
Enumeration Date | 2006-12-26 |
Last Update Date | 2025-09-17 |