NPI | 1245211887 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME79297) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME79297) |
208M00000X Hospitalist (Licence: FL ME79297) | |
Enumeration Date | 2005-11-10 |
Last Update Date | 2023-03-02 |