NPI | 1265817001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 88195) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209327) |
207R00000X Internal Medicine (Licence: GA 88195) | |
Enumeration Date | 2015-07-22 |
Last Update Date | 2022-05-27 |