NPI | 1205862067 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 51399) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301073747) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2022-10-11 |