NPI | 1255617700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-41450) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 66345) |
207R00000X Internal Medicine (Licence: IL 125059664) | |
207R00000X Internal Medicine (Licence: NE 32103) | |
208M00000X Hospitalist (Licence: IA MD-41450) | |
Enumeration Date | 2011-10-28 |
Last Update Date | 2025-01-10 |