NPI | 1275847949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 64896) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102420) |
202K00000X Phlebology (Licence: CT 64896) | |
208M00000X Hospitalist (Licence: CT 64896) | |
Enumeration Date | 2010-08-04 |
Last Update Date | 2025-09-22 |