NPI | 1285603720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 22449) |
Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: OK 22449) |
207R00000X Internal Medicine (Licence: OK 22449) | |
Enumeration Date | 2006-03-16 |
Last Update Date | 2025-07-14 |