NPI | 1194119008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A39459) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO.1975) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA 20A18378) | |
208M00000X Hospitalist (Licence: CA 20A18378) | |
Enumeration Date | 2015-03-28 |
Last Update Date | 2023-11-08 |