NPI | 1235517582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.132068) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME154928) |
208M00000X Hospitalist (Licence: OH 35.132068) | |
Enumeration Date | 2015-05-07 |
Last Update Date | 2024-11-12 |