NPI | 1275859555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY C2559) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.095175) |
208M00000X Hospitalist (Licence: OH 35.095175) | |
Enumeration Date | 2010-04-12 |
Last Update Date | 2024-04-17 |