NPI | 1205268588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2019010504) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7073) |
207R00000X Internal Medicine (Licence: OH 35.151493) | |
208M00000X Hospitalist (Licence: MO 2019010504) | |
208M00000X Hospitalist (Licence: CT 054673) | |
208M00000X Hospitalist (Licence: OH 35.151493) | |
Enumeration Date | 2013-08-08 |
Last Update Date | 2024-11-11 |