NPI | 1154769172 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME150609) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063553) |
207R00000X Internal Medicine (Licence: KY 49349) | |
208M00000X Hospitalist (Licence: IN 01082388A) | |
208M00000X Hospitalist (Licence: KY 49349) | |
Enumeration Date | 2013-06-12 |
Last Update Date | 2021-07-26 |