NPI | 1235336819 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME114016) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RTP 002363) |
207R00000X Internal Medicine (Licence: GA 065535) | |
208M00000X Hospitalist (Licence: FL ME114016) | |
Enumeration Date | 2007-06-28 |
Last Update Date | 2021-03-03 |